University of Wyoming

NPI #1558657650 in Casper, Wyoming

Provider Information

NPI Number
1558657650
Entity Type
Organization
Organization Name
University of Wyoming
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF WYOMING
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 27, 2011
Last Updated
Feb 17, 2023

Practice Location

Address
1522 E A ST
City
Casper
State
Wyoming
ZIP Code
82601-2217
Phone
(307) 234-6161

Authorized Official

Name
DR. BETH C. ROBITAILLE, MD
Title
PROGRAM DIRECTOR
Phone
(307) 234-6161

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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